<p> CABIN LEADER (Ages 20-34) APPLICATION FORM</p><p>August 25th to 30th, 2017 Please note: the dates this year have changed Camp Brereton Whiteshell, Manitoba</p><p>DEADLINE FOR APPLICATION FORM: July 1st, 2017</p><p>NOTE: YOU MUST BE ABLE TO ATTEND ADDITIONAL TRAINING PRIOR TO CAMP. DATES TO BE ANNOUNCED.</p><p>YOU ARE ALSO RESPONSIBLE FOR PROVIDING A RECENT (WITHIN 6 MONTHS) CHILD ABUSE REGISTRY CHECK AND CRIMINAL RECORD CHECK PRIOR TO BEING INTERVIEWED IN JULY.</p><p>Legal Name: ______</p><p>Please call me (preferred name): ______</p><p>Address: ______</p><p>______</p><p>Gender / gender identification: ______</p><p>Birth date (Month, day, year): ______Age: ______</p><p>E-mail: ______</p><p>Daytime Phone Number: ______Is it okay to leave a message at this number?  Yes |  No</p><p>Evening Phone Number: ______Is it okay to leave a message at this number?  Yes |  No</p><p>CAMPAURORA - Page 1 Why is volunteering as a Cabin Leader at Camp Aurora important to you?</p><p>In the context of working with others: Please describe 3 of your strongest personal attributes:</p><p>Please describe 3 areas where you would like to grow personally or professionally? </p><p>Please describe two incidents where you were in a leadership role and describe some of your responsibilities.</p><p>1.</p><p>2.</p><p>CAMPAURORA - Page 2 While in either of these roles, please tell us about a difficult decision that you had to make and if there is anything you would have done differently:</p><p>Please tell us of any experience you have had working within a camp setting:</p><p>Please tell us of any experience you have had with teaching, guiding, or instructing:</p><p>What are some of your hobbies and interests?</p><p>CAMPAURORA - Page 3 Please provide details of any certifications and/or training you possess which you think would be an asset to this role:</p><p>Describe your knowledge of / skill level in any or all of the following: (Please use additional space on the next page to respond)  Peer support  Basic counseling skills  Conflict resolution skills  Issues related to identifying as an LGBT2SQ* youth  Facilitating workshops  Supervising youth  Establishing personal and professional boundaries</p><p>Please provide two references:</p><p>Personal Reference</p><p>Name: ______</p><p>Phone number: ______</p><p>Relationship to you: ______</p><p>Professional Reference</p><p>Name: ______</p><p>Phone number: ______</p><p>Relationship to you: ______</p><p>Please ensure you attach a resume to your application.</p><p>Submit all documentation to [email protected] or in person to Rainbow Resource Centre, 170 Scott Street, Winnipeg, MB</p><p>CAMPAURORA - Page 4</p>